Upload
akocmacky
View
216
Download
0
Embed Size (px)
Citation preview
8/8/2019 SPA Refund
1/2
SPECIAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That I/WE, ___________________________________, Filipino citizen/s of legal age, single/married withresidence and postal address at _________________________________________________ do hereby name,
constitute, and appoint _____________________________________________, of legal age, single/married, withresidence and postal address at ____________________________________________ to be my/our true and lawfulAttorney-in-Fact for me/us in my/our name, place and stead, to do my/our all of the following acts, to wit:
1. To file and refund the customer deposit under his/her name on the account of_________________________________;
2. To make, sign and execute, for and in my/our behalf, any documents which may be necessaryfor the approval of the application and release of check;
3. To receive the check due me/us from ____________________________________.
HEREBY GIVING AND GRANTING unto my said Attorney-in-Fact full power and authority to do and performany and every act requisite and necessary to be done in and about the premises as fully to all intents and purposes
as I might or could do, I personally present and acting in person, HEREBY RATIFYING AND CONFIRMING all thatmy said Attorney-in-Fact may also do or cause to be done under and by virtue of these presents.
IN WITNESS WHEREOF, I have hereunto set my hand this _______ day of _________, 20___ at theProvince/City of ______________________________.
_____________________________ __________Attorney-in-Fact Principal
SIGNED IN THE PRESENCE OF:
______________________________ ___________________
ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES)PROVINCE/CITY OF ____________) S.S.
BEFORE ME, A Notary Public for and in the _______________________, Province of_____________________, this ______ day of _____________, 20______, personally appeared the above-namedpersons, who has satisfactorily proven to me their identity through their identifying documents written below theirname and signature, that they are the same person who executed and voluntarily signed the foregoing Special Power
of Attorney, which he/she acknowledged before me as his/her free and voluntary act and deed.
WITNESS MY HAND AND NOTARIAL SEAL.
NOTARY PUBLIC
Doc. No. _________;Page No. ________;Book No._________;Series of _________.
______________ No. ___________Date of Issue __________________
Expiry Date ___________________
______________ No. ___________Date of Issue __________________
Expiry Date ___________________
(February 2009)
With marital consent
_____________________________
8/8/2019 SPA Refund
2/2
SPECIFICATIONS:
SPECIAL POWER OF ATTORNEY
FORM CODE : FPC014
SIZE: 8 x 13
MATERIAL : White bond paper, subs. 20
PROCESS : Offset, one side printing
COLOR : One color print, black
CONSTRUCTION : 100 sheets per pad